Canarsie Aware

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

C09110554 Issued in NY

Legal business name

CANARSIE AWARE

Practice address

1285 Rockaway Ave
Brooklyn, NY 11236-2330

Phone

(718) 257-3195

Fax

(718) 257-5560

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacqueline Perez

Title

Billing Manager

Phone

(718) 585-9366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira Landau, PH.D.,LCSW-R.,CASAC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1598972812
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497971741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362330",
            "telephone_number": "718-257-3195",
            "fax_number": "718-257-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362330",
            "telephone_number": "718-257-3195",
            "fax_number": "718-257-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARSIE AWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-585-9366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "C09110554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Canals-Ferrat, M.D.
• Kalman Avraham Canant, LCSW
• Shoshana Canant, OTR/L
• Maureen Canaria, OTR
• Canarsie Adult Living Inc
• Canarsie Aware
• Canarsie Caring Hands
• Canarsie Childhood Center
• Canarsie Corp
• Canarsie Dental Office

• Substance Use Disorder Rehabilitation Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.